FORM 1023-EZ for 4 STATES YOUTH ATHLETICS ASSOCIATION
| Field | Data |
|---|---|
| EIN | 84-1922414 |
| Case Number | EO-2019263-000426 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | 4 STATES YOUTH ATHLETICS ASSOCIATION |
| Organization’s Mailing Address | 810 W 11TH STREET |
| City | GALENA |
| State | KS |
| ZIP | 66739 |
| Accounting period End | 4 |
| Primary contact name | BROCK VALE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JAHAN ZEB
PRESIDENT
3220 WESTBERRY SQ
JOPLIN MO 64804
Officer/Director/Trustee Two
SHANE ADAMS
SECRETARY
2122 EAST 25TH STREET
JOPLIN MO 64804
| Organization’s website | WWW.4SYAA.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/20/19 |
| Organization Incorporation State | KS |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | A03 - Professional Societies, Associations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: No Literary: No Public Safety: No Amateur Sports: Yes Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | No |
| Donation of funds | No |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | No |
| One Third Support Public | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JAHAN ZEB |
| Signature Title | PRESIDENT |
| Signature Date | 9/18/19 |
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